A 77-year-old man presented with a two-month history of increasing abdominal girth, weight loss and early satiety. Physical examination revealed a distended, nontender abdomen with dullness on percussion. The complete blood count and the liver function tests were normal whereas serologic tests for viral hepatitis were negative. A computed tomography (CT) scan of the abdomen showed a large amount of ascitic fluid resulting in central displacement of the small bowel and mesentery without septa of calcifications.
